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General NPI Number Information
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NPI Number | 1497357669
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Entity Type | Individual
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Provider Name | SHERRY AJU PHILIP APRN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 200 S PARK RD STE 200
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8541
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Country | US
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Telephone | 866-986-2263
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Fax |
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Provider Business Mailing Address
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Address Line | 14690 SPRING HILL DR STE 305
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City | SPRING HILL
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State | FL
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Zip | 34609-8102
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1204713
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11012690
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License Number State | FL
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